Federal inspection record · CMS data as of October 1, 2026
Hillside Manor Nursing Home
1109 E National Highway, Washington, IN · (812) 254-7159
- Special Focus Facility
- Certified beds
- 48
- Residents per day
- 37
- Ownership
- For-Profit
- Chain
- Major Hospital
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 27, 2002
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Indiana.
-
Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Indiana homes
Hillside Manor Nursing Home carries 309.25 inspection points. That is fewer than 0% of Indiana's 504 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Indiana: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–24 pts
- 3★ 24–42 pts
- 2★ 42–72 pts
- 1★ over 72 pts
Bars show every rated home in Indiana by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
58 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care9E
- E
Provide activities to meet all resident's needs.
- E
Ensure the activities program is directed by a qualified professional.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Assessment and Care Planning8E
- D
Ensure each resident receives an accurate assessment.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Ensure each resident receives an accurate assessment.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Ensure each resident receives an accurate assessment.
Nutrition and Dietary7F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Dispose of garbage and refuse properly.
- E
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- E
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control6F
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- D
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Pharmacy Service6E
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Ensure that residents are free from significant medication errors.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Ensure that residents are free from significant medication errors.
Environmental6E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Resident Rights6E
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- E
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
Nursing and Physician Services4F
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- F
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
- D
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
- C
Post nurse staffing information every day.
Administration3F
- F
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
- D
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- C
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspection history
2025-12-10
27 health deficiencies · 2 fire-safety deficiencies
Top issue: Nutrition and Dietary (6 deficiencies)
2024-09-04
22 health deficiencies · 2 fire-safety deficiencies
Top issue: Environmental (4 deficiencies)
2023-09-22
9 health deficiencies · 15 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 36 min of nursing staff time a day, 28 min of it from a registered nurse.
This home
2 h 36 min
Indiana average
3 h 44 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 61% of nursing staff and 0% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$12,740 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-06-25 | Fine | $12,740 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.5 pts better | 99.2% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine13.3 pts worse | 81.8% | 95.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.8 pts better | 0.0% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms25.5 pts better | 0.0% | 25.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.7 pts better | 1.6% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication15.5 pts worse | 39.0% | 23.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication23.2 pts worse | 36.9% | 13.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.6 pts worse | 11.7% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.3 pts better | 6.5% | 10.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder6.8 pts worse | 7.1% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.3 pts worse | 2.4% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence10.8 pts better | 11.6% | 22.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.7 pts better | 2.8% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14.3 pts better | 96.2% | 81.9% | 82.3% |
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Who owns and runs it
8 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Claxton, Ryan | Corporate Officer · Individual | 0% | 25 facilities |
| Claxton, Ryan | Operational/Managerial Control · Individual | 0% | 25 facilities |
| Claxton, Ryan | Adp Of The SNF · Individual | 0% | 25 facilities |
| Helm Chapman, Julie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Helm Chapman, Julie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hillside Manor, Inc. | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Holsopple, Merle | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Holsopple, Merle | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- B
Provide properly protected cooking facilities.
- B
Properly select, install, inspect, or maintain portable fire extinguishes.
- B
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems5F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
- D
Ensure proper usage of power strips and extension cords.
Egress4E
- E
Install emergency lighting that can last at least 1 1/2 hours.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E
Have exits that are accessible at all times.
Emergency Preparedness2F
- F
Conduct testing and exercise requirements.
- F
Implement emergency and standby power systems.
Services1E
- E
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
-
Prairie Village Nursing And Rehabilitation
Washington, IN · American Senior Communities
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 12 min
- Fines
- $0
-
Eastgate Manor Nursing And Rehabilitation
Washington, IN · American Senior Communities
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 40 min
- Fines
- $0
-
Villages At Oak Ridge, The
Washington, IN · Trilogy Health Services
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 37 min
- Fines
- $0